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| Name | Class |
|---|---|
| Central Denmark Region | OTHER |
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Physician manned rapid response vehicles are a limited resource in the prehospital handling of acute patients.
In this study mobile videoconferencing between ambulances and the rapid response vehicles enables patient consultation at a distance. Video consultation between patient and the prehospital physician can take place when the patient is at home or in the ambulance.
The primary aim of this study is to examine the effect of video consultation between physician manned rapid response vehicles and patients receiving treatment by ambulance personnel on the number of patients receiving final treatment on-site in the pre-hospital setting
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Video consultation | Experimental | Patients in this arm receive video consultation from physician in doctor manned rapid response vehicle. |
|
| Telephone consultation | Active Comparator | Patients receiving prehospital care by ambulance personnel whom receive telephone consultation/supervision by physician in rapid response vehicle. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iPad air with 4G/3G SIM card | Device | iPad air with 4G/3G SIM card is used as device for videoconferencing. LifeSizeClearSea solution is used for videoconferencing. Video consultation |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients receiving final treatment on-site prehospitally | Final treatment is registered for the present consultation, expected assesment averagely within 1 hour. Expected to be presented up to 36 months after assessment |
| Measure | Description | Time Frame |
|---|---|---|
| Readmission | For all patients receiving consultation from physician manned rapid response vehicles the number of patients admitted to hospital within 3 days will assessed. | Within 3 days of primary contact. Will be assessed up to 24 months after primary contact. Expected to be presented up to 36 months after assessment. |
| Measure | Description | Time Frame |
|---|---|---|
| Ambulance staff evaluation of usability of equipment | Is investigated by the use of survey | 1 day |
| Physicians evaluation of equipment | Is investigated by the use of survey |
Inclusion Criteria:
Exclusion Criteria:
-
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| Name | Affiliation | Role |
|---|---|---|
| Nikolaj Raaber, MD | Central Denmark Region | Principal Investigator |
| Erika Christensen, MD, medical director | Central Denmark Region | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lægebilen, Hospitalsenheden Horsens | Horsens | 8700 | Denmark | |||
| Responce A/S |
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|
| Change in site of referral |
If the department to receive the patient is changed during consultation between physician in rapid response vehicle and patient |
| If destination for patient is changed during consultatation with physician it wille be assessed at the end of consultation, expected averagely to be within 1 hour after consultation, expected to presented up to 24 months after primary assessment |
| Number of treatments delivered by ambulance personnel | The number of treatments delivered by ambulance personnel during consultation with physician in rapid response vehicle. Expected to be assessed averagely within 1 hour of consultation. Expected to be presented up 36 months after primary assessment |
| 1 day |
| Patient satisfaction | Is investigated by telephone survey. | Within 3 weeks after receiving consultation |
| Horsens |
| 8700 |
| Denmark |